Anesthetic management in bilateral video-assisted thoracoscopic sympathectomy for refractory ventricular arrhythmias: A case report
| Autor: | Paula Alves Pinheiro, Camila Biazussi Damasceno, Isadora Megale Quadros, Marina Ayres Delgado |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Ejection fraction
business.industry medicine.medical_treatment Anesthetic management Case Report video-assisted thoracoscopy Ablation Thoracoscopic sympathectomy anesthesia cardiac sympathetic denervation sympathectomy Anesthesiology and Pain Medicine Sympathectomy Refractory Anesthesiology Anesthesia Heart rate Idiopathic dilated cardiomyopathy medicine RD78.3-87.3 business |
| Zdroj: | Saudi Journal of Anaesthesia Saudi Journal of Anaesthesia, Vol 15, Iss 2, Pp 207-209 (2021) |
| ISSN: | 0975-3125 1658-354X |
| Popis: | Cardiac Sympathetic Denervation (CSD) has been shown to reduce shocks and subsequent pain of implantable cardiac defibrillator (ICD) in patients with heart diseases and recurrent Ventricular Tachycardia (VT) who did not respond properly to oral therapy and ablation. A 68-year-old man who presented an idiopathic dilated cardiomyopathy with impaired ejection fraction was treated for VT. A bilateral cardiac sympathetic denervation was performed under general anesthesia. Patient was extubated in the operating room and transferred to ICU where he presented hypotension. He was discharged after five days and remained symptom-free without any incident of VT during hospital stay. Currently no definite anesthetic management is available to treat such patients. This report discusses an approach that made heart rate control and safe patient discharge possible. |
| Databáze: | OpenAIRE |
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